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Case Number: A-20270-04328

Fiscal year: 2022

Fiscal Year

2022

Case Number

A-20270-04328

Case Status

Denied

Received Date

2021-03-17

Decision Date

2021-12-20

Refile

N

Original File Date

2022-01-01 10:38:50

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

BLUE SPIRIT HOSPICE, INC.

Employer Name Slug

blue-spirit-hospice-inc

Employer Address 1

1433 W.MERCED AVE. UNIT 220

Employer Address 2

,

Employer City

WEST COVINA

Employer City Slug

west-covina

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

91790

Employer Phone

6264306802

Employer Number of Employees

10

Employer Year Commenced Business

2014

NAICS Code

623110

FW Ownership Interest

N

Employer Contact Name

Gerald De La Cruz

Employer Contact Address 1

1433 W. Merced Ave. Unit 220

Employer Contact Address 2

Employer Contact City

W. Covina

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

91790

Employer Contact Phone

6264306802

Employer Contact Email

inter-world@hotmail.com

Agent Attorney Name

Annie A Peralta

Agent Attorney Firm Name

InterWorld Immigration Service

Agent Attorney Phone

(213) 435-3703

Agent Attorney Address 1

310 S. Mariposa Ave. S107

Agent Attorney Address 2

Agent Attorney City

Los Angeles

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

90020

Agent Attorney Email

inter-world@hotmail.com

PW Track Number

P10020207735494

PW SOC Code

29-2071

PW SOC Title

Medical Record Clerk

PW Skill Level

Level I

PW Wage

33155.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-12-31

PW Expiration Date

2020-06-30

Wage Offer From

33155.00

Wage Offer To

33155.00

Average Salary

33155.00

Wage Unit of Pay

Year

Worksite Address 1

1433 W. Merced Ave. Unit 220

Worksite Address 2

Worksite City

W. Covina

Worksite City Slug

w-covina

Worksite State

CALIFORNIA

Worksite Postal Code

91790

Job Title

Medical Record Clerk

Job Title Slug

medical-record-clerk

Minimum Education

Other

Major Field of Study

Nursing

Required Training

N

Required Experience

Y

Required Experience Months

5

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

Y

Accept Alternative Combination Education

Other

Accept Alternative Combination Education Years

0

Accept Foreign Education

Y

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

5

Accept Alternative Job Title

Staff nurse

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

none

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

N

Application for College/University Teacher

N

SWA Job Order Start Date

2021-01-01

SWA Job Order End Date

2021-02-07

Sunday Edition Newspaper

Y

First Newspaper Name

Los Angeles Times

First Advertisement Start Date

2021-01-10

Second Newspaper Ad Name

Los Angeles Times

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-02-07

Employer Website From Date

2022-01-01 10:38:50

Employer Website To Date

2022-01-01 10:38:50

Professional Organization Ad From Date

2022-01-01 10:38:50

Professional Organization Advertisement To Date

2022-01-01 10:38:50

Job Search Website From Date

2022-01-01 10:38:50

Job Search Website To Date

2022-01-01 10:38:50

Employee Referral Program From Date

2022-01-01 10:38:50

Employee Referral Program To Date

2022-01-01 10:38:50

Local Ethnic Paper From Date

2022-01-01 10:38:50

Local Ethnic Paper To Date

2022-01-01 10:38:50

Radio/TV Ad From Date

2022-01-01 10:38:50

Radio/TV Ad To Date

2022-01-01 10:38:50

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PHILIPPINES

Foreign Worker Birth Country

PHILIPPINES

Class of Admission

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

BACHELOR OF SCIENCE IN NURSING

Foreign Worker Years of Education Completed

2019

Foreign Worker Institution of Education

COLLEGE OF IMMACULATE CONCEPTION

Foreign Worker Education Institution Address 1

SUMACAB ESTE,

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

CABANATUAN CITY

Foreign Worker Education Institution State/Province

NUEVA ECIJA

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

3100

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Annie A Peralta

Preparer Title

Agent

Preparer Email

inter-world@hotmail.com

Employer Information Declaration Name

Gerald De La Cruz

Employer Information Declaration Title

Chief Executive officer